Lakewood Immediate Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKEWOOD IMMEDIATE CARE

Practice address

1700 Madison Ave
Lakewood, NJ 08701-1253

Phone

(908) 315-5602

NPI assigned

Aug 17, 2015

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anne C Fish

Title

Ceo

Phone

(212) 734-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel A Preschel, MD

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1063561413
  Medicare reassignment NPD
• Eliyahu Finkel, PA-C

  • Physician Assistant
  • Lakewood, NJ
  • NPI 1336691880
  Medicare reassignment
• Bracha Gemal, PA-C

  • Medical Physician Assistant
  • Lakewood, NJ
  • NPI 1841987252
  Medicare reassignment
• Nissim Menashy, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jackson, NJ
  • NPI 1801199484
  Medicare reassignment
• Adina Mintz, PA

  • Physician Assistant
  • Lakewood, NJ
  • NPI 1477706539
  Medicare reassignment
• Zev Portnoy, PA-C

  • Physician Assistant
  • Lakewood, NJ
  • NPI 1659747947
  Medicare reassignment
• Fruma Raizel Roth, PA-C

  • Physician Assistant
  • Jackson, NJ
  • NPI 1629514187
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1548636301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011253",
            "telephone_number": "908-315-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood First Aid & Emergency Squad Inc.
• Lakewood Foot and Ankle Specialist, LLC
• Lakewood Foot and Ankle Specialists
• Lakewood Hatzolah, LLC
• Lakewood Hospitalists
• Lakewood Kids and Adolescent Dentistry
• Lakewood Obstetrics & Gynecology PA
• Lakewood Pediatric Associates
• Lakewood Pediatric Dental Associates
• Lakewood Pharmacy LLC (Refua Pharmacy)

• Internal Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.